PREGNANCY-INDUCED HYPERTENSION AND ITS EFFECTS ON NEONATAL HEMOGRAM
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Keywords
Hematological Profile, Neonates, Pregnancy Induced Hypertension, Prevalence
Abstract
Hypertensive disorders are the most prevalent pregnancy complications. Major pregnancy-related maternal morbidities are caused by preeclampsia toxemia. Preeclampsia increases neonatal morbidity and mortality. Hematological permutation is more common in neonates of hypertensive moms, especially those with preeclampsia, according to many studies.
Objective: To determine the frequency of hematological profile of neonates among women with pregnancy induced hypertension visiting to Liaquat National Hospital Karachi.
Place and Duration: This Cross-Sectional study was conducted at Department of Obstetrics and Gynecology, Liaquat National Hospital, Karachi, Pakistan from February 8, 2022 to August 7, 2022
Methods: All eligible patients who visited LNH, Karachi were studied. After discussing the study's process, drawbacks and benefits, informed consent was obtained. Our study took cord blood from all mothers soon after delivery by double-clamping and severing the cord in between the clamps, then putting the syringe at the placental end of the cord proximally and collecting 4 mL of cord blood. The newborns' blood was transferred to the hospital lab for hematological analysis. All obtained data were entered into the proforma at the end and used electronically for study.
Results: Mean maternal age was 28.4±5.5 years. Mean ± SD of neonatal age was 15.2±4.8 with C.I (14.30…….16.09) days. In distribution of gender of baby, 46 (40.4%) were male while 68 (59.6%) were female. Hematological profile of neonates showed neutropenia in 20 (17.5%) neonates, thrombocytopenia in 45 (39.5%) while polycythemia was noted in 9 (7.9%) neonates.
Conclusion: The most prevalent hematological profile was thrombocytopenia, followed by neutropenia and polycythemia. Since the sample originated from different parts of Pakistan, it can be generalized.
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Rabia Rind
Senior Registrar Obstetrician and Gynecologist, Liaquat National Hospital, Karachi
Karam-un-Nisa
Senior Registrar Obstetrician and Gynecologist, Liaquat National Hospital, Karachi
Aisha Taj
HOD and Consultant Obstetrician and Gynecologist, Liaquat National Hospital, Karachi
Tuba Nadeem
Senior Registrar Obstetrician and Gynecologist, Liaquat National Hospital, Karachi
Haleema A. Hashmi
Consultant Obstetrician and Gynecologist, Liaquat National Hospital, Karachi